Laparoscopic Urology

Laparoscopy

Since 1990, laparoscopic and more recently robotic surgery has become main stream as minimally invasive surgical alternatives for many urologic conditions including both benign and cancerous conditions.

Less pain and scarring

Less blood loss

Fewer blood transfusions

Less risk of infections

Shorter hospital stay

Faster return to normal activities

Laparoscopic surgery allows a surgeon to perform complex procedures within the abdomen without having to placing his hands directly into the body cavity. This is achieved by using miniaturized instruments placed through portals, called trocars, inserted through keyhole size incisions made in the abdomen. The abdominal cavity is inflated with carbon dioxide gas to provide a working space for the surgeon to operate in. Visualization of the internal anatomy is provided by a high definition, digital camera attached to a telescope lens inserted through one of the trocar sites. As the incision size tends to be smaller than for open surgery, postoperative pain is reduced in addition to blood loss and transfusions.

More recently, robotic surgery, introduced into the field of urology in 2000 has gradually replaced many of the laparoscopic procedures due to advancements in visualization, ergonomics and instrumentation. Robotic surgery using the da Vinci™ Surgical Robotic System provides distinct advantages over conventional laparoscopic surgery. First, improved optical technology provides surgeons with not only a high definition, 10-12 X magnified view but also more specifically a three dimensional depth perception of the internal anatomy as compared to the two dimensional view offered by laparoscopic surgery. Second instead of the rigid instruments used during laparoscopic surgery, advancements in multi-jointed robotic instruments allows the surgeon to operate with the same ergonomic freedom as using his hands and wrists thus providing greater range of motion of instrumentation. Third, motion scaling technology allows for reduction in tremor and highly precise surgical dissection during robotic surgery.

Procedures

List of procedures which can be performed Laparoscopically or Robotically.

Prostatic Cancer

Radical Prostatectomy

Bladder Cancer

Partial / Radical Cystectomy

Kidney Cancer

Partial / Radical Nephrectomy

Adrenal Tumours

Adrenalectomy

Congenital Urological Problems

Pyeloplasty for Ureteropelvic junction obstruction

Ureteric reimplantation for vesicoureteral reflux

Urinary Stone Diseases

Pyelolithotomy / Ureterolithotomy

With advancement in optics and vessel sealing systems must of then open urological surgeries are replaced Laparoscopically with reduced bleeding and pain